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气候和季节因素对微生物角质炎概况的影响
E Erdem1, Z Köktaş2, I İnan Harbiyeli1
1Ophthalmology Department, Faculty of Medicine, Cukurova University, Balcalı Hospital, 1380 Sarıcam, Adana, Turkey.
Journal francais d'ophtalmologie
|November 6, 2023
概括
气候和季节因素影响微生物角质炎 (MK) 形状. 性角膜炎在亚热带地区更为普遍,这表明它是一种与气候有关的疾病.
科学领域:
- 眼科医生 眼科 眼科
- 传染性疾病 传染性疾病
- 流行病学 流行病学
背景情况:
- 微生物角膜炎 (MK) 是全球视力损失的重要原因之一.
- 了解MK病原体和易感因素的区域差异对于有效管理至关重要.
- 气候和季节是MK流行病学的潜在,但尚未研究的决定因素.
研究的目的:
- 在土耳其两个不同的气候区域之间比较微生物炎 (MK) 的临床和微生物特征.
- 调查气候和季节对MK的流行率和微生物特征在11年期间的影响.
主要方法:
- 追溯性队列研究分析了土耳其两个转诊中心665名疑似MK患者的数据.
- 中心A代表了亚热带气候,而中心B则是大陆温带气候.
- 数据包括患者人口统计学,易感因素,临床表现和微生物学发现,并分析季节性变化.
主要成果:
- 在亚热带地区 (A中心),眼部创伤是主要的诱导因素,而在温带地区 (B中心),先前的手术和系统性疾病占主导地位.
- 在A中心,真菌和混合性角膜炎更为常见,有线状真菌全年发现,夏季和秋季达到峰值.
- 文化阳性率因季节而异,在两个中心,春季较高,夏季较低. 总体而言,格拉姆阳性细菌是最常见的分离物.
结论:
- 气候和季节性变化极大地影响了角膜炎的微生物特征.
- 真菌角膜炎表现出一种依赖气候的传染病的特征.
- 关于 MK 的区域流行病学数据对于指导临床诊断和治疗策略至关重要.
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